One Goh, accused of seven murders in the mass shooting at Oikos University talks to David Klaus, Deputy Public Defender, before entering a not-guilty plea in court at the Renee C. Davidson Superior Courthouse on Monday, April 30, 2012. (Laura A. Oda/Staff)

OAKLAND -- A 43-year-old man who killed seven people during a shooting rampage at a small, private university this year is mentally incompetent to stand trial, a court-appointed psychiatrist has found.

One Goh suffers from paranoid schizophrenia, which is preventing him from understanding court proceedings and prohibiting any rational discussions with his defense attorney about the multiple-murder case against him, the mental health status report found.

"He's deeply paranoid and trusts no one," Goh's attorney, assistant public defender David Klaus said. "His condition is central to this entire story."

Although Goh was found incompetent by one psychiatrist, attorneys must now wait for a conclusion from another court-appointed mental health expert before the case proceeds.

If the second psychiatrist finds Goh incompetent, then it's likely Goh will be sent to a state mental hospital to undergo treatment. There, doctors can force Goh to take medicine and attempt to prepare him for an eventual trial.

Goh is accused of killing six students and a receptionist at the struggling Oikos University that was in a building near Oakland International Airport. Goh, who was once enrolled at the school but dropped out, was supposedly upset that the school refused to refund his tuition after he decided not to take classes.

The killing spree began on the morning of April 2 inside the small university on Edgewater Drive in Oakland when, police say, Goh walked into a classroom and started shooting students.

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Goh allegedly used a .45-caliber handgun and brought four additional magazines with him to the school.

Klaus asked that his client undergo a mental analysis after Goh repeatedly refused to speak with Klaus about the case.

Klaus said results from one analysis were "very strong" and discovered a long-standing mental condition that Goh had suffered from for at least a decade.

The undisclosed psychiatrist who prepared the report interviewed Goh and his family members. The doctor also reviewed Goh's videotaped confession to police and reviewed police reports, Klaus said.

The report found Goh irrational and delusional, with thoughts about fighting a battle between good and evil. Goh told the doctor he hears voices and sees faces, Klaus said.

Goh is scheduled to appear in court again Jan. 7, when the second psychiatric report is due. Once that report is completed, Klaus and the Alameda County District Attorney's Office will decide if a trial on Goh's mental health should be conducted or if Goh should be sent to a state mental health hospital.